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CHILD/ADOLESCENT PSYCH PROGRAM
NPI 1235480351
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lynchburg, VA

Active since September 28, 2012
3300 RIVERMONT AVE, LYNCHBURG, VA 24503(434) 200-5999 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Child/adolescent Psych Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD/ADOLESCENT PSYCH PROGRAM (NPI 1235480351) is a healthcare organization registered as a child & adolescent psychiatry in Lynchburg, Virginia and active in the NPI registry since September 2012. The organization lists Lewis Addison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235480351
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameCENTRA HEALTH PROFESSIONAL SERVICES, LLC
Location Address3300 RIVERMONT AVELynchburg, VA 24503-2030
Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112
Phone(434) 200-5999
Organization SubpartYes
Authorized OfficialLewis AddisonCfo · (434) 200-3656
Enumeration DateSeptember 28, 2012
✔ NPI 1235480351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3300 RIVERMONT AVE, Lynchburg, VA 24503
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Other Names 1

Doing Business AsChild/adolescent Psych Program

Other Identifiers 2

Medicare PINC09704
Medicare PINDE2814

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE GUNN TURNER NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
3300 RIVERMONT AVE, INTENSIVE CARE NURSERY
LYNCHBURG, VA 24503
Bedford County (434) 200-5735
MRS. AMANDA BARBARA ANTHONY MS, OTR/L
Occupational Therapist (Neurorehabilitation)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
MAGEN CALLAND
Nurse Practitioner (Acute Care)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4651
KELSEY T WOOD DPT
Physical Therapist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
EMILY ANNE BOURNE M.S. CC-SLP
Speech-Language Pathologist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-3000
CENTRA HEALTH INC
Psychiatric Unit
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 947-3777
AMBER DOLLARHITE LPTA
Physical Therapy Assistant
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
BRIANNA TOLLEY
Social Worker (Clinical)
3300 RIVERMONT AVE, ATTN: PATHWAYS - BRIANNA TOLLEY
LYNCHBURG, VA 24503
Bedford County (434) 200-4455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centra Health Professional Services, LLC's NPI number?

The NPI number for Centra Health Professional Services, LLC is 1235480351. It was assigned to this organization in the NPPES registry on September 28, 2012. The provider is doing business as Child/Adolescent Psych Program.

Where is Centra Health Professional Services, LLC located?

Centra Health Professional Services, LLC is located at 3300 Rivermont Ave, Lynchburg, VA 24503. The listed phone number is (434) 200-5999.

What is Centra Health Professional Services, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Centra Health Professional Services, LLC was last updated on September 28, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.